NR 465 Final Exam With complete solution
Newest RATED A+
Briefly describe the pathophysiology associated with diabetes during pregnancy (what happens)
II! II! II! II! II! II! II! II! II! II!
Blood glucose rises as insulin sensitivity falls. gestational diabetes, β-cells fail to compensate for the
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
demands of pregnancy, and, when combined with reduced insulin sensitivity, this results in
II! II! II! II! II! II! II! II! II! II! II! II! II!
hyperglycemia2.
II!
Explain appropriate interventions when caring for a pregnant woman with Type I diabetes and gestational
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
diabetes.
II!
Summarize expected routine screening for diabetes during pregnancy. II! II! II! II! II! II! II!
OOGT test where fasting blood glucose is taken then drink syrup solution and follow up BGL done to see
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
how body responds to glucose.
II! II! II! II! II!
Discuss indications for use of magnesium sulfate during pregnancy, what expected side effects of this
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
drug? What are the risks?
II! II! II! II! II!
Given for hypertension in pregnancy but is not an antihypertensive it relaxes the CNS. Side effects include
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
lethargy. Risks of this drug is respiratory depression from toxicity.
II! II! II! II! II! II! II! II! II! II!
Violence against women...who is at risk and nursing interventions.
II! II! II! II! II! II! II! II!
Anyone at risk, but especially women from low economic background, low education level, existing
II! II! II! II! II! II! II! II! II! II! II! II! II!
history of violence, violence usually gets worse with pregnancy. Nurses should screen in private/ safe
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
setting, use professional language, incorporate the screening into IPV routine medical history, resources
II! II! II! II! II! II! II! II! II! II! II! II! II!
should be posted in obvious and easily accessible place.
II! II! II! II! II! II! II! II! II!
What nursing management can be expected for a woman on mag sulfate.
II! II! II! II! II! II! II! II! II! II! II!
Expect the need to monitor SPO2 via pulse oximetry.
II! II! II! II! II! II! II! II!
Presumptive signs of pregnancy II! II! II!
subjective changes that might make a woman think she is pregnant II! II! II! II! II! II! II! II! II! II!
ex/ amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged
II! II! II! II! II! II! II! II! II!
Montgomery glands), quickening(slight fluttering movements of the fetus felt by the women, usually
II! II! II! II! II! II! II! II! II! II! II! II! II!
between 16-20 wks of gestation).
II! II! II! II! II!
What risks exist for the newborn of a mother who was on mag sulfate?
II! II! II! II! II! II! II! II! II! II! II! II! II!
Newborn is also at risk for late decelerations and respiratory depression outside of the womb.
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Recommendations of diet and teaching for osteoporosis (review your questions you submitted). II! II! II! II! II! II! II! II! II! II! II!
Calcium Vitamin D Low fat or fat free diet II! II! II! II! II! II! II! II!
Want to avoid alcohol and smoking and increasing weight baring exercises to decrease factor risk. Also
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
, II! want to avoid falls and certain medications that will also increase fracture risk including gluticosteroids,
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! heparin, antiepleptics, and aromatase inhibitors which is used for the tx of breast cancer.
II! II! II! II! II! II! II! II! II! II! II! II! II!
Signs and symptoms of osteoporosis and management
II! II! II! II! II! II!
Risk factors: past fracture, certain medical conditions or medications, or cigarette or alcohol use Signs and
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
symptoms: Back pain, stooped posture, loss of height, multiple fractures easily occur. II! II! II! II! II! II! II! II! II! II! II!
Treatment: with hormone therapy or medication that slow the break down of bone or a drug that II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
stimulates new bone formation. Remove risk factors and increase habits that will decrease risk factors.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Violence against women...who is at risk and nursing interventions.
II! II! II! II! II! II! II! II!
Anyone at risk, but especially women from low economic background, low education level, existing
II! II! II! II! II! II! II! II! II! II! II! II! II!
history of violence, violence usually gets worse with pregnancy. Nurses should screen in private/ safe
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
setting, use professional language, incorporate the screening into IPV routine medical history, resources
II! II! II! II! II! II! II! II! II! II! II! II! II!
should be posted in obvious and easily accessible place.
II! II! II! II! II! II! II! II! II!
probable signs of pregnancy II! II! II!
objective: notable on exam: goodell's sign, chadwick's sign, hegar's sign, braxton hicks contractions,
II! II! II! II! II! II! II! II! II! II! II! II!
ballottement, abdominal striae, pregnancy test
II! II! II! II! II!
positive signs of pregnancy II! II! II!
heart sounds, visualization of fetus, movement of fetus
II! II! II! II! II! II! II!
McDonalds rule II!
fundal height in cm's equals wks gestation w/in 2 wks
II! II! II! II! II! II! II! II! II!
Nagal's Rule II!
take date of womans last period subtract 3 months and add 7 days
II! II! II! II! II! II! II! II! II! II! II! II!
GTPAL
Gravida- # of total pregnancies II! II! II! II!
Term-37-40 weeks II!
Preterm- before 20 weeks II! II! II!
Abortions- loss II!
Living- children II!
quickening
the first movement of the fetus in the uterus that can be felt by the mother
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
lightening
fundal height drop- the sensation of the fetus moving from high in the abdomen to low in the birth canal
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Hegar sign II!
Newest RATED A+
Briefly describe the pathophysiology associated with diabetes during pregnancy (what happens)
II! II! II! II! II! II! II! II! II! II!
Blood glucose rises as insulin sensitivity falls. gestational diabetes, β-cells fail to compensate for the
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
demands of pregnancy, and, when combined with reduced insulin sensitivity, this results in
II! II! II! II! II! II! II! II! II! II! II! II! II!
hyperglycemia2.
II!
Explain appropriate interventions when caring for a pregnant woman with Type I diabetes and gestational
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
diabetes.
II!
Summarize expected routine screening for diabetes during pregnancy. II! II! II! II! II! II! II!
OOGT test where fasting blood glucose is taken then drink syrup solution and follow up BGL done to see
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
how body responds to glucose.
II! II! II! II! II!
Discuss indications for use of magnesium sulfate during pregnancy, what expected side effects of this
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
drug? What are the risks?
II! II! II! II! II!
Given for hypertension in pregnancy but is not an antihypertensive it relaxes the CNS. Side effects include
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
lethargy. Risks of this drug is respiratory depression from toxicity.
II! II! II! II! II! II! II! II! II! II!
Violence against women...who is at risk and nursing interventions.
II! II! II! II! II! II! II! II!
Anyone at risk, but especially women from low economic background, low education level, existing
II! II! II! II! II! II! II! II! II! II! II! II! II!
history of violence, violence usually gets worse with pregnancy. Nurses should screen in private/ safe
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
setting, use professional language, incorporate the screening into IPV routine medical history, resources
II! II! II! II! II! II! II! II! II! II! II! II! II!
should be posted in obvious and easily accessible place.
II! II! II! II! II! II! II! II! II!
What nursing management can be expected for a woman on mag sulfate.
II! II! II! II! II! II! II! II! II! II! II!
Expect the need to monitor SPO2 via pulse oximetry.
II! II! II! II! II! II! II! II!
Presumptive signs of pregnancy II! II! II!
subjective changes that might make a woman think she is pregnant II! II! II! II! II! II! II! II! II! II!
ex/ amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged
II! II! II! II! II! II! II! II! II!
Montgomery glands), quickening(slight fluttering movements of the fetus felt by the women, usually
II! II! II! II! II! II! II! II! II! II! II! II! II!
between 16-20 wks of gestation).
II! II! II! II! II!
What risks exist for the newborn of a mother who was on mag sulfate?
II! II! II! II! II! II! II! II! II! II! II! II! II!
Newborn is also at risk for late decelerations and respiratory depression outside of the womb.
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Recommendations of diet and teaching for osteoporosis (review your questions you submitted). II! II! II! II! II! II! II! II! II! II! II!
Calcium Vitamin D Low fat or fat free diet II! II! II! II! II! II! II! II!
Want to avoid alcohol and smoking and increasing weight baring exercises to decrease factor risk. Also
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
, II! want to avoid falls and certain medications that will also increase fracture risk including gluticosteroids,
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! heparin, antiepleptics, and aromatase inhibitors which is used for the tx of breast cancer.
II! II! II! II! II! II! II! II! II! II! II! II! II!
Signs and symptoms of osteoporosis and management
II! II! II! II! II! II!
Risk factors: past fracture, certain medical conditions or medications, or cigarette or alcohol use Signs and
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
symptoms: Back pain, stooped posture, loss of height, multiple fractures easily occur. II! II! II! II! II! II! II! II! II! II! II!
Treatment: with hormone therapy or medication that slow the break down of bone or a drug that II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
stimulates new bone formation. Remove risk factors and increase habits that will decrease risk factors.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Violence against women...who is at risk and nursing interventions.
II! II! II! II! II! II! II! II!
Anyone at risk, but especially women from low economic background, low education level, existing
II! II! II! II! II! II! II! II! II! II! II! II! II!
history of violence, violence usually gets worse with pregnancy. Nurses should screen in private/ safe
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
setting, use professional language, incorporate the screening into IPV routine medical history, resources
II! II! II! II! II! II! II! II! II! II! II! II! II!
should be posted in obvious and easily accessible place.
II! II! II! II! II! II! II! II! II!
probable signs of pregnancy II! II! II!
objective: notable on exam: goodell's sign, chadwick's sign, hegar's sign, braxton hicks contractions,
II! II! II! II! II! II! II! II! II! II! II! II!
ballottement, abdominal striae, pregnancy test
II! II! II! II! II!
positive signs of pregnancy II! II! II!
heart sounds, visualization of fetus, movement of fetus
II! II! II! II! II! II! II!
McDonalds rule II!
fundal height in cm's equals wks gestation w/in 2 wks
II! II! II! II! II! II! II! II! II!
Nagal's Rule II!
take date of womans last period subtract 3 months and add 7 days
II! II! II! II! II! II! II! II! II! II! II! II!
GTPAL
Gravida- # of total pregnancies II! II! II! II!
Term-37-40 weeks II!
Preterm- before 20 weeks II! II! II!
Abortions- loss II!
Living- children II!
quickening
the first movement of the fetus in the uterus that can be felt by the mother
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
lightening
fundal height drop- the sensation of the fetus moving from high in the abdomen to low in the birth canal
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Hegar sign II!
